PETER VINCENT KAVANAGH MD NPI 1245218601

NPI Information

  • NPI: 1245218601
  • Provider Name: PETER VINCENT KAVANAGH, MD
  • Classification: Radiology - 2085B0100X
  • Specialization: Body Imaging
  • Entity Type: Individual
  • Address: MEDICAL CENTER BLVD
    WINSTON SALEM, NC
    ZIP 27157
  • Phone: (336) 716-2255

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NPI Details

Peter Vincent Kavanagh, MD is a body imaging radiology in Winston Salem, NC. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. Peter Vincent Kavanagh, MD NPI is 1245218601. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157-001
Phone: (336) 716-2255

The enumeration date for this NPI number is 1/5/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085B0100XRadiologyBody Imaging98-01333NORTH CAROLINAYes
22085R0202XRadiologyDiagnostic Radiology98-01333NORTH CAROLINAX
32085R0204XRadiologyVascular & Interventional Radiology98-01333NORTH CAROLINAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12266945AMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
201556MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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